van der Wal H A, Nuijten A S
Sint Franciscus Gasthuis, afd. Verloskunde en Gynaecologie, Rotterdam.
Ned Tijdschr Geneeskd. 1996 Mar 23;140(12):667-9.
A 22 year-old Turkish patient on haemodialysis experienced an unplanned, but wanted pregnancy and prematurely gave birth to a viable infant. The pregnancy of a patient on haemodialysis can be complicated by hypertension, anaemia, bleeding, intrauterine growth retardation and premature delivery and has to be followed closely, with a higher frequency of haemodialysis. Fertile women on haemodialysis should be informed about birth control. After renal transplantation the chances of becoming pregnant are much higher as well as the chances of a successful outcome. The women on haemodialysis should not be dissuaded from having a pregnancy because of obstetrical and foetal risk factors, but the risks should be balanced against the odds of having a renal transplantation.
一名22岁接受血液透析的土耳其患者意外怀孕，但她希望生下孩子，最终早产下一存活婴儿。血液透析患者怀孕可能会并发高血压、贫血、出血、胎儿宫内发育迟缓及早产，必须密切监测，并增加血液透析频率。应告知接受血液透析的育龄妇女采取避孕措施。肾移植后怀孕几率及成功分娩几率均更高。不应因产科及胎儿风险因素而劝阻接受血液透析的妇女怀孕，但应权衡风险与肾移植成功几率。
